Individual provider Active NPI

Robert Kingsley Atteberry, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1376516245
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1999140355 Issued in MO
Practice address
3844 S Lindbergh Blvd
Ste 216
Saint Louis, MO 63127-1416
Phone
(314) 525-0580
Fax
(314) 525-0581
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1999140355 MO Primary

Addresses

Primary practice location

3844 S Lindbergh Blvd
Ste 216
Saint Louis, MO 63127-1416

Mailing address

PO Box 7412049
Chicago, IL 60674-2049
Phone (314) 525-0580

Other identifiers 1

IdentifierTypeStateIssuer
205293715MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000062 MO Practitioner - Pediatric Medicine 4385625698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Saint Louis University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3844 S Lindbergh Blvd
Suite 216
Saint Louis, MO 63127-1369
Phone (314) 525-0580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1999140355MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Pediatrics LLC CurrentSince Nov 1, 2018 Accepting new patients
Mercy Clinic East Communities Pediatrics Past Accepting new patients

Locations

3844 S Lindbergh Blvd
Ste 216
Saint Louis, MO 63127
Phone (314) 525-0580

Interoperability endpoints

  • Direct secure messaging: ratteberry1023@directc.mercy.net
  • Direct secure messaging: ratteberry154413@direct.carenet.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1376516245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412049",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742049",
            "telephone_number": "314-525-0580",
            "fax_number": "314-525-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD",
            "address_2": "STE 216",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271416",
            "telephone_number": "314-525-0580",
            "fax_number": "314-525-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERRY",
        "first_name": "ROBERT",
        "middle_name": "KINGSLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "1999140355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205293715",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "3844 S Lindbergh Blvd",
            "address_2": "Ste 216",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631271416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.